Room Request Form

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- Colin Kiernan
  
  Ministry Scheduler
  
  ministryschedulerstamericigh.com

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- Organization REQUIRED Please fill out this field. Please enter valid data.
- Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Contact Email REQUIRED Please fill out this field. Please enter an email address.
- Contact Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Event Name REQUIRED Please fill out this field. Please enter valid data.
- Event Date REQUIRED Please fill out this field. Please enter a date.
- Event Time Start REQUIRED Please fill out this field. Please enter valid data.
- Event Time End REQUIRED Please fill out this field. Please enter valid data.
- Additonal Minutes Needed for Setup? REQUIRED Please fill out this field. Please enter an integer (number).
- Additonal Minutes Needed for Cleanup? REQUIRED Please fill out this field. Please enter an integer (number).
- Is this a Recurring Event? REQUIRED Yes No Please fill out this field.
- If Yes, What is the Start Date and End Date? Please enter valid data.
- How Many People are Expected to Attend? REQUIRED Please fill out this field. Please enter an integer (number).
- Requested Room Please enter valid data.
- Room Set Up
  Please plan to organize your own setup, but if you need assistance for any reason, please enter details in the box below.
- Details REQUIRED Please fill out this field.
- Will you require any audio or video equipment, if yes, please provide details REQUIRED Yes No Please fill out this field.
- Details for A/V Needs REQUIRED Please fill out this field.
- Any other notes or details
Submit